The narcotic drug problemBishop, Ernest S. (Ernest Simons)
Science
The narcotic drug problem
Bishop, Ernest S. (Ernest Simons)
Drug addiction
Some addicts, as individuals and types, will of course always require
institutional and custodial handling. The handling of the addict who
is criminal or vicious belongs within the province of the penological
authorities, just as does the handling of any other man who is criminal
or vicious. The handling of the addict who is fundamentally degenerate,
defective or mentally weak may require the attention of the alienist
and institutional restraint, just as may the handling of any other man
who is degenerate or defective. Narcotic drug addiction-disease in the
man who is vicious or criminal or defective or degenerate should be
treated as narcotic drug addiction-disease, as any other disease is
treated in the same individual.
To our legislators and administrators and forces of penology, custody
and correction rightfully belongs the problem of looking after the
criminal and vicious addict as well as providing for the eradication of
illicit, irresponsible, and “underground” traffic in narcotic drugs.
If the illicit trafficker happens to be a physician he should have no
more consideration at the hands of the law than any other criminal and
in its action the law should have complete co-operation of the medical
profession, which should see to it also that conscientious endeavor
of its honest members is not confused in its consideration with
illicit traffic and that the acts of the doctor shall be determined
and estimated upon broad principles of medical practice and not upon
violation of incidental technicalities. Great care should be taken that
the sins of a guilty few are not visited upon the heads of a deserving
many.
Until there is available competent and adequate medical care for the
honest narcotic addict sufficient in extent to meet the needs of the
thousands of sufferers, and encouragement and protection as well as
restriction is afforded to the honest physician, the illicit traffic
will continue and grow, including in its toils many who would not
otherwise seek it. Before we have further medical restrictions, we
should have both medical and lay and official education. Over-emphasis
on any aspect resulting in premature, narrow, ill-considered and
ill-advised action only increases the complexity of the situation and
defers final remedy. For as great and complicated a problem as narcotic
drug addiction there will be found no special or specific panacea.
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